NPI: 1992996508 · NANTUCKET, MA 02554 · General Practice Dentistry · NPI assigned 08/08/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 327 | $12K |
| 2019 | 119 | $5K |
| 2020 | 12 | $312.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 165 | 161 | $9K |
| D0120 | Periodic oral evaluation - established patient | 178 | 176 | $4K |
| D0274 | Bitewings - four radiographic images | 49 | 48 | $2K |
| D9110 | 28 | 27 | $1K | |
| D1206 | Topical application of fluoride varnish | 26 | 26 | $676.00 |
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $39.00 |